The information in this registration will help us get to know you better and assist you in becoming part of our parish life. This information is for Parish use only. Church of Registration: St. Augustine, Boyne Falls St. Matthew, Boyne City Residency: Year Round Summer Winter Will you use envelopes? Yes No Head of Household First: Middle: Last: Mainden name (if applicable): Address: Apt. #: City: State:AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming Zip: Alternate Address: Home Phone #: Unlisted? Other Phone #: Email: Occupation: Birth Date: Employer: Religion: Baptism Yes No Date: Church: City: Sacramental Information: (if known) Confirmation Yes No Date: Church: City: First Eucharist Yes No Date: Church: City: Penance Yes No Date: Church: City: Spouse First: Middle: Last: Mainden name (if applicable): Email: Occupation: Birth Date: Employer: Religion: Baptism Yes No Date: Church: City: Sacramental Information: (if known) Confirmation Yes No Date: Church: City: First Eucharist Yes No Date: Church: City: Penance Yes No Date: Church: City: Marital StatusSingleMarriedSeparatedDivorcedAnnulledWidowed Marriage Date: Church Name: City/State: Children living in your home (Under the age of 18 years) [Anyone over 18 is considered an adult in the Catholic Church and should register separately] Add a Child Child 1 First Middle Last (if different) Birth Date: Gender Male Female School: Grade: Baptized Catholic: Yes No Date: Church: Confirmation: Yes No Date: Church: Eucharist: Yes No Date: Church: Penance: Yes No Date: Church: Add another Child Child 2 First Middle Last (if different) Birth Date: Gender Male Female School: Grade: Baptized Catholic: Yes No Date: Church: Confirmation: Yes No Date: Church: Eucharist: Yes No Date: Church: Penance: Yes No Date: Church: Add another Child Child 3 First Middle Last (if different) Birth Date: Gender Male Female School: Grade: Baptized Catholic: Yes No Date: Church: Confirmation: Yes No Date: Church: Eucharist: Yes No Date: Church: Penance: Yes No Date: Church: Add another Child Child 4 First Middle Last (if different) Birth Date: Gender Male Female School: Grade: Baptized Catholic: Yes No Date: Church: Confirmation: Yes No Date: Church: Eucharist: Yes No Date: Church: Penance: Yes No Date: Church: Should we be aware of any handicaps? Would you be interested in joining or learning more information about: Altar Server Chorale / Cantor Education Commission Extraordinary Ministers of Holy Communion Family Faith Formation Knights of Columbus Marriage Prep Team Ministers of the Word Out Reach Pastoral Council RCIA Sacramental Preparation Sacristans Scripture Sharing Ushers Worship Commission Youth Ministry
Call 231-582-7718
